By signing this application, I certify that all information provided in this application and all accompanying documentation is truthful, authentic, accurate and valid. I agree to the Policy, Procedures and Guidelines of the SPBC Deacon's Benevolent Fund. I understand that if confidentiality is breached in any way on my part or any information provided is found fraudulent, this application is invalid and the process will be terminated. I grant the SPBC Deacon's Benevolent Committee permission to follow up on any information on this application or additional documentation/information I have provided them.
